Organization Active NPI

Advanced Pharmacy & Nutrition Center

  • Community/Retail Pharmacy
  • North Branch, MI
National Provider Identifier
1891806394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
L710512 Issued in MI
Legal business name
ADVANCED PHARMACY & NUTRITION CENTER
Practice address
3960 Huron St
North Branch, MI 48461-6122
Phone
(810) 688-3090
Fax
(810) 688-3791
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Michael Sadler, RPH.
Title
President
Phone
(810) 688-3090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X L710512 MI Primary

Addresses

Primary practice location

3960 Huron St
North Branch, MI 48461-6122

Mailing address

3960 Huron St
PO Box 319
North Branch, MI 48461-6122
Phone (810) 688-3090

Other identifiers 1

IdentifierTypeStateIssuer
3521208MedicaidMI

National Provider Directory

National Provider Directory

Locations

3960 Huron St
North Branch, MI 48461
Phone (810) 668-3090

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891806394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 HURON ST",
            "address_2": "PO BOX 319",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484616122",
            "telephone_number": "810-688-3090",
            "fax_number": "810-688-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 HURON ST",
            "city": "NORTH BRANCH",
            "state": "MI",
            "postal_code": "484616122",
            "telephone_number": "810-688-3090",
            "fax_number": "810-688-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHARMACY & NUTRITION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-688-3090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "L710512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3521208",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.